Multiple Complications by Hydatid Cyst-induced Budd Chiary Syndrome: A Case Report
Abstract
A case of the Budd Chiary Syndrome (BCS) in a 43-yr-old man with hydatid cyst (HC) in the liver is reported from Imam Ali Hospital, Kermanshah, western Iran in 2016. This case was complicated by inferior vena cava (IVC) thrombosis, right atrial clot and pulmonary emboli. Compression of IVC was the likely mechanism. Abdominal ultrasonography revealed a huge HC located in segments near IVC and caused compression of IVC. Transthoracic echocardiography (TTE) revealed IVC and right atrium thrombosis, however pulmonary emboli was not documented in TTE but intra operative exploration showed multiple clot in main and left pulmonary artery branch. The patient recovered after open-heart surgery with removal of right atrial, IVC and pulmonary artery emboli. BCS should be looked for routinely in patients with HC of the liver.
Dulger AC, Esen R, Begenik H, Aytemiz E, Demirtas L, Aslan M. Alveolar echinococcosis of the liver: a single center experience. Pol Arch Med Wewn. 2012;122:133-8.
Sarawagi R, Keshava SN, Surendrababu NR, Zachariah UG, Eapen EC. Budd-Chiari syndrome complicating hydatid cyst of the liver managed by venoplasty and stenting. Cardiovasc Intervent Radiol. 2011;34:S202-5.
Aydinli M, Bayraktar Y. Budd-chiari syn-drome: etiology, pathogenesis and diagnosis World J Gastroenterol. 2007;13:2693-2696.
Menon KV, Shah V, Kamath PS. The budd-chiari syndrome. N Engl J Med. 2004;350:578-585.
Janssen HL, Garcia-Pagan JC, Elias E, Mentha G, Hadengue A, Valla DC. Budd-chiari syndrome: a review by an expert panel. J Hepatol. 2003;38:364-371.
Karadas S, Cumhur DA, Bilge G, Mehmet B, Mustafa K. A case of Budd-Chiari syndrome associated with alveolar echinococcosis. J Pak Med Assoc. 2014;64:465-7.
Akbulut S, Yilmaz M, Kahraman A, Yilmaz S. Budd-Chiari syndrome due to giant hydatid cyst: a case report and brief literature review. J Infect Dev Ctries. 2013;7:489-93.
Çakmak E, Alagozlu H, Gumus C, Alí C. A case of Budd-Chiari syndrome associated with alveolar echinococcosis. Korean J Parasitol. 2013;51:475-7.
Zia-ur-Rehman, Alvi AR, Bibi S. Hepatic vein and inferior vena caval thrombus extending into the right atrium: a rare complication of amoebic liver abscess. J Coll Physicians Surg Pak. 2010; 20:57-9.
Agarwal N, Kumar S. Budd-Chiari syndrome owing to liver hydatid disease: case report and review of the literature. Ann Trop Paediatr. 2009; 29:301-4.
Rossi IA, Delay D, Qanadli SD, Jaussi A. Inferior vena cava syndrome due to Echinococcus multilocularis. Echocardiography. 2009; 26:842-6.
Emre A, Arioğul O, Alper A, Okten A, Uras A, Yalçin S. Hydatid cysts of liver and portal hypertension. HPB Surg. 1990; 2:129-33.
| Files | ||
| Issue | Vol 12 No 1 (2017) | |
| Section | Case Report(s) | |
| Keywords | ||
| Hydatid cyst Cardiac complication Budd chiary syndrome | ||
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